Individual
MRS. JILL ANN PEREZ-GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LAT
Contact information
Practice address
1 IRIS BLOOM CIR, MADISON, WI 53719-4088
(608) 235-7535
Mailing address
1 IRIS BLOOM CIR, MADISON, WI 53719-4088
(608) 235-7535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
130-39
WI
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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